Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $2,747.00 / $2,747.00	Facility		$2,747.00	$2,747.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,073.77 / $1,073.77 / $1,073.77	Professional		$1,073.77	$1,073.77	$1,073.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.96 / $1,244.73 / $1,493.67	Professional		$981.96	$1,244.73	$1,493.67
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,328.13 / $1,453.49 / $1,716.02	Professional		$1,328.13	$1,453.49	$1,716.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,095.35 / $1,194.94 / $1,394.09	Professional		$1,095.35	$1,194.94	$1,394.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $2,446.00 / $2,446.00	Facility		$2,446.00	$2,446.00	$2,446.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,015.70 / $1,244.73 / $1,608.92	Professional		$1,015.70	$1,244.73	$1,608.92
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $994.63 / $1,366.72	Professional		$29.27	$994.63	$1,366.72